Guest guest Posted May 2, 2001 Report Share Posted May 2, 2001 Dear Martha Speaking as one who has no children, I have every sympathy with your worries, and can only imagine how awful you must be feeling right now. First, I am sorry to hear that you have been diagnosed with IgM this alone is difficult enough to deal with. As far as your son goes, as right as you are to worry about him just now, remember there can be many reasons for protein or blood in the urine, not necessarily IGA or IGM. I don't want to dismiss the strength of your worries, but until the results are back, there is very little you can do. Your son could have something like a UTI or kidney infection. If it is any use to you, my nephew has had repeated infections and pain such as you describe, and his urine test always came back negative for infection, but blood and protein had been present. Further testing ruled that it was a viral infection that was causing the problems, and since a massive dose of antibiotics he has been symptom free, and urine clear. As far as if IgA is hereditary, I would doubt this very much, but nothing surprises me these days. I will perhaps leave that to Pierre to answer more fully if he can. Sorry I can't be more positive for you. Good luck and stay positive. Protein in my son's urine Hi Everyone, I could sure use some advise right now. I'm the one who was recently diagnoses with IgM nephropathy and mild lupus. My 11 y/o son has complained on and off for a year about pains in his kidney area-front and back. Stabbing types of pain. In the past his urinalysis has been normal, but last Friday he got a bad sore throat and it didn't go away so today I took him to the pediatrician for a throat culture. The rapid strep was negative but I had him send it off for further examination. I also had him check my son's urine and it showed trace protein today. He is sending it off for microscopic analysis for blood, etc. I'm FREAKING out! I can't do this. I'm sick-he can't be too! Does this sound like IgA Nephropathy? How could this be. Does this run in families? There is NO kidney disease in my family or my husbands. The doctor told me to calm down but I've been down this road before. What should I do now? Please advise... Thank you, Martha Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 2, 2001 Report Share Posted May 2, 2001 > > > Hi Everyone, > > I could sure use some advise right now. I'm the one who was > recently diagnoses with IgM nephropathy and mild lupus. > > My 11 y/o son has complained on and off for a year about pains > in his kidney area-front and back. Stabbing types of pain. In the > past his urinalysis has been normal, but last Friday he got a bad sore > throat and it didn't go away so today I took him to the pediatrician > for a throat culture. The rapid strep was negative but I had him send > it off for further examination. I also had him check my son's urine > and it showed trace protein today. He is sending it off for > microscopic analysis for blood, etc. I'm FREAKING out! I can't do > this. I'm sick-he can't be too! Does this sound like IgA Nephropathy? > How could this be. Does this run in families? There is NO kidney > disease in my family or my husbands. The doctor told me to calm down > but I've been down this road before. What should I do now? > Please advise... > Thank you, Martha Im sorry to hear the bad news, but if they found protein in your sons urine he defenitly has kidney disease. I recomend you take him to a Nephrologist to start theoropy right away. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2001 Report Share Posted May 3, 2001 Trace amounts of protein might not be anything. There is some evidence that IgAN runs in some families, and a gene has apparently been identified, but, I would be willing to bet that not even one person on this list has any other relatives who also have IgAN. I personally have never heard of such a case. So it can't be very common. I would have to review the literature, but I believe familial clustering of IgAN is more common among Asian races (just going by memory here folks, so don't quote me). Nowhere in my most extended family tree has there ever been a known case of kidney disease, and going back to the days before dialysis etc., no one I know has ever died from any kidney disease whatsoever. Anybody else? Pierre Protein in my son's urine > > > Hi Everyone, > > I could sure use some advise right now. I'm the one who was > recently diagnoses with IgM nephropathy and mild lupus. > > My 11 y/o son has complained on and off for a year about pains > in his kidney area-front and back. Stabbing types of pain. In the > past his urinalysis has been normal, but last Friday he got a bad sore > throat and it didn't go away so today I took him to the pediatrician > for a throat culture. The rapid strep was negative but I had him send > it off for further examination. I also had him check my son's urine > and it showed trace protein today. He is sending it off for > microscopic analysis for blood, etc. I'm FREAKING out! I can't do > this. I'm sick-he can't be too! Does this sound like IgA Nephropathy? > How could this be. Does this run in families? There is NO kidney > disease in my family or my husbands. The doctor told me to calm down > but I've been down this road before. What should I do now? > Please advise... > Thank you, Martha > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2001 Report Share Posted May 4, 2001 > > > > > > Hi Everyone, > > > > I could sure use some advise right now. I'm the one who was > > recently diagnoses with IgM nephropathy and mild lupus. > > > > My 11 y/o son has complained on and off for a year about pains > > in his kidney area-front and back. Stabbing types of pain. In the > > past his urinalysis has been normal, but last Friday he got a bad > sore > > throat and it didn't go away so today I took him to the > pediatrician > > for a throat culture. The rapid strep was negative but I had him > send > > it off for further examination. I also had him check my son's urine > > and it showed trace protein today. He is sending it off for > > microscopic analysis for blood, etc. I'm FREAKING out! I can't do > > this. I'm sick-he can't be too! Does this sound like IgA > Nephropathy? > > How could this be. Does this run in families? There is NO kidney > > disease in my family or my husbands. The doctor told me to calm > down > > but I've been down this road before. What should I do now? > > Please advise... > > Thank you, Martha Im sorry to hear the bad news, but if they found > protein in your sons urine he defenitly has kidney disease. I > recomend you take him to a Nephrologist to start theoropy right away. Most dipstick tests that are positive for protein are a result of benign proteinuria, and no cause for concern (it does need to be investigated though, to find the reason -- so, 24 hour urine collection). For examples of benign causes of mild proteinuria, see this web page: http://www.angelfire.com/journal2/clinicacayanga/proteinuria_in_adults ..htm Dehydration is a common cause, as is fever. Pierre Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2001 Report Share Posted May 4, 2001 Pierre, Thanks for the encouragement. Being a mom can be so scary at times. The pediatrician sent the " trace protein " over to the hospital to check for microhematuria. Of course they got the test " mixed up " & did a urine culture rather than checking for blood under the microscope. I wish they had the original sample to check for blood Anyway,the next I took another sample down. It looked real clear (I have a urine fedish-lol). Sure enough that sample came back normal-no blood or protein. The doctor wants me to sample his urine in about 2 weeks and then every month for a few months just to be sure. He said that many people have trace protein in thier urine from just walking around. I don't quite buy it in this case because he has never had protein in his urine before even when he was sick with a fever. It seems like my IgM nephropathy took several years to manifest postive urinalysis even though I was symptomatic. Pierre, how old were you when you developed IgA? Were you otherwise healthy? Have you had your tonsils out? Does the tonsils out put it into remission or just make it not as bad? Thanks, Martha > > Most dipstick tests that are > positive for protein are a result of benign proteinuria, and no cause > for concern (it does need to be investigated though, to find the > reason -- so, 24 hour urine collection). For examples of benign > causes > of mild proteinuria, see this web page: > http://www.angelfire.com/journal2/clinicacayanga/proteinuria_in_adults > .htm > > Dehydration is a common cause, as is fever. > > Pierre Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2001 Report Share Posted May 5, 2001 Re: Protein in my son's urine > Pierre, > Thanks for the encouragement. Being a mom can be so scary at times. > The pediatrician sent the " trace protein " over to the hospital to > check for microhematuria. Of course they got the test " mixed up " & > did a urine culture rather than checking for blood under the > microscope. I wish they had the original sample to check for blood > Anyway,the next I took another sample down. It looked real clear (I > have a urine fedish-lol). Sure enough that sample came back normal-no > blood or protein. The doctor wants me to sample his urine in about 2 > weeks and then every month for a few months just to be sure. He said > that many people have trace protein in thier urine from just walking > around. I don't quite buy it in this case because he has never had > protein in his urine before even when he was sick with a fever. It > seems like my IgM nephropathy took several years to manifest postive > urinalysis even though I was symptomatic. Pierre, how old were you > when you developed IgA? Were you otherwise healthy? Have you had your > tonsils out? Does the tonsils out put it into remission or just make > it not as bad? > Thanks, Martha > > You're welcome Martha. To answer your question, I was about 23 or so when a routine medical revealed blood in my urine (it was never visible to the naked eye). Protein came a bit later, as far as I can recall. I was otherwise perfectly healthy, had not been sick in any way, and I was also in excellent physical condition. No, never had my tonsils out. I'm told they look very healthy. A tonsillectomy alone does not cause IgA nephropathy to go into remission, but it may reduce the frequency of bouts of macrohematuria if the disease seems to evolve in conjunction with respiratory infections. This has never been the case with me. I never had any symptoms at all until more than a decade later when I started having very resistant high blood pressure. By this time, my serum creatinine was a little beyond the normal range. Now, 24 years after the initial finding of abnormal urine, I have the severe hypertension still, plus I've started having problems with elevated potassium and phosphorus, and I tend to have some edema in my abdomen and my face if I don't take my diuretic. There was a period of about 9 or 10 years after the initial findings when I didn't see a doctor even once (I was that healthy), but in hindsight, I should have -- because by the time the hypertension was discovered, I had developed an enlarged left ventricle in the heart, and therefore had probably been hypertensive without knowing it for some time. This is why I keep stressing early blood pressure control in this group. --Pierre Quote Link to comment Share on other sites More sharing options...
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